| NPI | 1386634731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA DO-03518) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 03518) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: IA DO-03518) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-12-09 |